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FiFP-=i=+-20C�9 07:27G FF'0!9: PROFESSZCiIJRL ELECTRI 3E0 4�5 1182 T0:4252578857 P• 1 <br />ELECTRICAL PERMIT APPLICATION <br />ClTY OF !_VERETT PERMIT SERVICES <br />3200 GEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATfONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�_,$'D / f�o�y f ��/ C -- <br />PRO�JECT ADDRESS <br />U - �-o-oy <br />c-o5ov-��i <br />T/inif�/ �P/SCo�a% �'�+✓rc�i ,�}.3J/ /�7�uy��/`o%%" C✓f� <br />Ownor �^� Mall Address Clly Slale/Zip Phone <br />Tonanl <br />Mall qddross <br />Clly <br />SlaloRlp Phono <br />�/yJ <br />r`���!s�s ,�_,�. /��P�fi. _ l� Poa ,� �i� i9�i-.yio� c.�� S�aa s s�ro-a� <br />��8�.���(�.1� li��i��t7i)��� M]II AfiAfflF$ C��Y ' .S�O�C/Z��1 Phone <br />P,/�O � F_ � .ID 7 7 .r-4 <br />S:ale Liconso Number <br />�lv✓l �i <br />Proposod Uso of Buildinp <br />i�r <br />70o d-� �� <br />Conlract Prico of Work <br />Conlacl Pnrson (Plan Ruview� <br />DescripllonofWurkloDoDono: T.rfc�� .�,�c,� '�ov/� 3 p>' .�'nivi�e c�.��"�+ _ <br />1d� �or r�.��.� � / �i� �o.� <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWP,YS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 3105 <br />I I�oroGy corti(y fhn(1 Imvu raod nnd oa�anUnod fh/s applla <br />connc(. All provlslau ollaws ond ordlnoncos �ovoming <br />�+hoGier spoclp�d horcln or noL The prent7np of n permd <br />vlolato or cuncaf fho provlslcns o/nny othor stnf� or locai <br />poAonnnnco of consl�vctlon. Tho( I am eufhodzeA by lhc <br />wak lor whlch n�pllcntlnn !s mt�do nnd I conrpty wlth fho <br />296.200 WAC. <br />end <br />la�v <br />�i' SO— U <br />FEE <br />p� US � <br />C <br />?(o bu trua and �L' J`J�-�- I� I <br />complofed <br />-e oufhonty fc <br />tlon or Nio <br />u pmfom� fhe <br />8.27 RCW antl <br />